Individual
MRS. SHERRI LYNN BARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7330 FERN AVE, SHREVEPORT, LA 71105-4971
(866) 730-0707
(866) 730-0708
Mailing address
682 FOURTH STREET, MEGARGEL, TX 76370-0682
(940) 562-5135
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2072216
TX
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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